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1982105235
LUIS ADRIAN PONCE
EL PASO, TX
NPI
1982105235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1274772)
Enumeration Date
2018-02-22
Last Update Date
2018-02-22
Business Address
LUIS ADRIAN PONCE PT, DPT
7304 GOOD SAMARITAN CT
EL PASO, TX 79912-1602
Phone number: 915-581-4863
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Mailing Address
LUIS ADRIAN PONCE PT, DPT
7304 GOOD SAMARITAN CT
EL PASO, TX 79912-1602
Phone number:
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